| Drs. Lacy, Weidman & Hazey Iii | |
|
112 Hill St Bridgeport WV 26330-1756 | |
| (304) 842-5211 | |
| (304) 842-1163 |
| Full Name | Drs. Lacy, Weidman & Hazey Iii |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 112 Hill St, Bridgeport, West Virginia |
| Authorized Official Name and Position | Michael A Hazey (OWNER) |
| Authorized Official Contact | 3048425211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Lacy, Weidman & Hazey Iii 112 Hill St Bridgeport WV 26330-1756 Ph: (304) 842-5211 | Drs. Lacy, Weidman & Hazey Iii 112 Hill St Bridgeport WV 26330-1756 Ph: (304) 842-5211 |
| NPI Number | 1356560346 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356560346 | NPI | - | NPPES |
| 177-065-0012 | Other | WV | NPI NUMBER |
| 163-924-6887 | Other | WV | NPI NUMBER |
| 165-944-8991 | Other | WV | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2285 (West Virginia) | Primary |
Ogden And Browning Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Johnson Ave, Suite 200, Bridgeport, WV 26330 Phone: 304-842-7591 Fax: 304-842-7615 | |
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